胶囊内镜下的抗幽门胶囊运动。

The Antro-pyloric Capsular Movement by Capsule Endoscopy.

机构信息

Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.

出版信息

J Neurogastroenterol Motil. 2010 Apr;16(2):172-6. doi: 10.5056/jnm.2010.16.2.172. Epub 2010 Apr 27.

DOI:10.5056/jnm.2010.16.2.172

PMID:20535348

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2879839/

Abstract

BACKGROUND/AIMS: Capsule endoscopy (CE) is used for various purposes. The aims of this study were to classify the types of antro-pyloric capsular movement in CE and to investigate the relationship between the types of capsular movement and clinical factors, including gastric emptying time (GET).

METHODS

Out of 103 patients who received CE between January 2004 and July 2006, 82 patients (33 female, mean age of 50.6 years) were retrospectively analyzed for capsular movement; 21 patients were excluded because of the history of medications and previous surgeries. CE images were interpreted by a single investigator in relation to the GET and types of antro-pyloric capsular movement.

RESULTS

Antro-pyloric capsular movement was classified into four patterns: type 1, large longitudinal to-and-fro movements in the antrum followed by passage through the pylorus without resistance; type 2, after large longitudinal to-and-fro movements, passage through the pylorus with resistance (> 1 minute); type 3, mixed pattern of type 1 and 4; type 4, weak movement. Median GET by CE were 14.1 minutes (range, 1.2-50.1), 21.7 minutes (6.2-154.9), 57.3 minutes (14.9-249.8), and 58.8 minutes (21.0-249.5) for type 1, 2, 3, and 4, respectively. GET in type 1 and 2 were significantly shorter than that in type 3 and 4 (p < 0.05). Ten diabetic patients presented with type 2 (n = 5), 3 (n = 3), and 4 (n = 2) patterns, but not with type 1.

CONCLUSIONS

Our results suggest the analysis of capsule movement using CE to be a possible method of evaluating the antro-pyloric movement.

摘要

背景/目的：胶囊内镜（CE）用于各种目的。本研究的目的是对 CE 中的幽门胶囊运动类型进行分类，并研究胶囊运动类型与临床因素（包括胃排空时间（GET））之间的关系。

方法

对 2004 年 1 月至 2006 年 7 月期间接受 CE 的 103 例患者中的 82 例（33 名女性，平均年龄 50.6 岁）进行回顾性分析，以研究胶囊运动；由于药物史和先前手术史，排除了 21 例患者。CE 图像由一名研究人员根据 GET 和幽门胶囊运动类型进行解释。

结果

幽门胶囊运动分为四种类型：1 型，在胃窦中进行大的纵向往返运动，然后无阻力通过幽门；2 型，进行大的纵向往返运动后，通过幽门有阻力（> 1 分钟）；3 型，1 型和 4 型混合；4 型，运动较弱。CE 测量的中位 GET 分别为 14.1 分钟（范围，1.2-50.1）、21.7 分钟（6.2-154.9）、57.3 分钟（14.9-249.8）和 58.8 分钟（21.0-249.5）。1 型、2 型、3 型和 4 型的 GET 分别。1 型和 2 型的 GET 明显短于 3 型和 4 型（p <0.05）。10 例糖尿病患者分别出现 2 型（n = 5）、3 型（n = 3）和 4 型（n = 2）模式，但没有 1 型。